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1811297443
RICHARD PATRICK SWENSON
IDAHO FALLS, ID
NPI
1811297443
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TM1800X Psychologist Mental Retardation & Developmental Disabilities
(Licence: ID 214)
Enumeration Date
2010-10-29
Last Update Date
2010-10-29
Business Address
DR. RICHARD PATRICK SWENSON PH.D.
1147 E 25TH ST
IDAHO FALLS, ID 83404-7007
Phone number: 208-525-8615
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Mailing Address
DR. RICHARD PATRICK SWENSON PH.D.
1147 E 25TH ST
IDAHO FALLS, ID 83404-7007
Phone number: 208-525-8615
Copy
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